Cost-effectiveness of diagnostic for malaria in Extra-Amazon Region, Brazil

Malaria Journal

Table 1 Cost components and unit costs considered for malaria diagnosis

Items	Unit cost for base-case analysis (US$)	Unit cost for variation analysis (US$)	Information sources
Exams and supplies
Thick smear – one exam ⁽¹⁾	1.34	0.28 – 2.06	Base-case: Macauley, 2005
			Variation: Macauley, 2005 and de Oliveira et al., 2010, based on IEC/SVS/MS. ⁽²⁾
SD Bioline FK60 (PF/Pan)™ - one test	0.93	0.74 – 1.12	Base-case: Ministry of Health
			Variation: 20% above and below the base-case.
CareStart (Pan)™ - one test	3.86	3.09 – 4.64	Base-case: Laboratory supplier
			Variation: 20% above and below the base-case
First Response Malaria Combo™ - one test	0.82	0.66 – 0.99	Base-case: Laboratory supplier
			Variation: 20% above and below the base-case
Parascreen™ (Pf/Pan) – one test	0.92	0.74 – 1.10	Base-case: Laboratory supplier
			Variation: 20% above and below the base-case.
BinaxNOW Malaria™ - one test	4.93	3.94 – 5.92	Base-case: Laboratory supplier
			Variation: 20% above and below the base-case.
Latex gloves to use with RDT ⁽³⁾	0.03	0.07	Base-case and variation: de Oliveira e et al., 2010.
Health services
Consultation in a specialized public outpatient service	11.37	----	National Healthcare System reimbursement table.
Equipment
Microscope – one unit - annual value	432.71⁽⁴⁾	292.19⁽⁵⁾	Base-case and variation: Ministry of Health.
Microscope maintenance – one annual maintenance	54.10⁽⁶⁾	43.53 – 64.92	Base-case and variation: de Oliveira et al., 2010, based on IEC/SVS/MS. ⁽²⁾
			Variation: 20% above and below the base-case.

Extra-Amazon Region, Brazil, 2010.
Notes:
⁽¹⁾ Corresponds to the individual cost of one test considering the following inputs: glass slide, Giemsa and other dyes.
(all the components for staining), immersion oil, lancet, cotton-wool, alcohol and gloves.
⁽²⁾ The Malaria Laboratory of the Instituto Evandro Chagas (IEC), of SVS/MS, provided the individual costs of each input for carrying out staining and reading of the slide; costs were calculated for one test produced.
⁽³⁾ Latex gloves – part of the cost of each RDT.
⁽⁴⁾ Annual cost of microscopy for 15 years. The cost of one unit was the basis for obtaining the cost per slide examined, for two different costing methods.
⁽⁵⁾ Annual cost of microscopy for 30 years. The cost of one unit was the basis for obtaining the cost per slide examined, for two different costing methods.
⁽⁶⁾ The cost of maintenance was the basis for obtaining the cost per slide examined for two different costing methods.

ISSN: 1475-2875